JMS (
in another thread) referred to something I have been thinking about over the past few weeks in reference to TSM successfulness, compliance and pre-TSM drinking levels.
Quote:
However, in looking at their intake numbers prior to starting TSM indicates to me that they weren't consuming anything close to what I was
I agree with JMS that heavier drinkers probably need more time on the programme probably due to a combo of psychological (habit, trigger etc) and the stronger physical addiction. I think this is why TSM should be done in conjunction with a habit-changing program - even logging drinks, and reporting them here, is a good start.
Prior to starting TSM I read a few good books written by well respected psychologists on how the process of personal change happens, or doesn't happen, and how to maximise the chance of positive change occurring. Actually, chance is the wrong word because, if left to chance, deliberate difficult changes wouldn't be made at all. Research in these books shows that a number of particular behaviours have to be developed (goal setting, reflection etc) and followed through to their conclusion in order for change to occur. By the time I discovered and started TSM, I was informed by these psychological findings. But more importantly, and in fact by chance, I had also been studying about extinction, intermittent reinforcement and extinction bursts in my university course.
For TSM to work, it is vital that we understand and commit to avoiding intermittent reinforcement at all costs. I am having a sort of struggle with it at the moment. It is the night before NY Eve and I have a big party tomorrow night. I have two Nal left and three nights before the chemist opens to fill my prescription. That means that one of those nights will have to be an involuntary AF. ... I can't allow myself to do a 'just once' because that 'just once' could undo five weeks of good work.
Intermittent reinforcement increases resistance to extinction. Intermittent Nal use isn't just 'slipping up'; it's a definite backward and sidelining step and each of these mis-steps takes us more and more off course. I want to
stay on course.
Best of luck in 2014 everyone!
(Hmmm, Kerri thinks New Year's Day itself is a good time not to drink and gulps her second last NaL. Kerri also hopes that her rave above will keep her on track until her new Nal stash is in hand.)